Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Construction and validation of an educational game on biosafety in the central sterile supply department

    Revista Brasileira de Enfermagem. 2024;77(6):e20230478

    Abstract

    ORIGINAL ARTICLE

    Construction and validation of an educational game on biosafety in the central sterile supply department

    Revista Brasileira de Enfermagem. 2024;77(6):e20230478

    DOI 10.1590/0034-7167-2023-0478

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    ABSTRACT

    Objectives:

    to construct and validate an educational game on biosafety in the Central Sterile Supply Department of a hospital in Curitiba, PR.

    Methods:

    the study was conducted using a quantitative approach, employing applied and technological research with an exploratory design. The process was divided into six stages, from the definition of the theme to the validation and application of the game. The study was carried out from May to August 2022, involving 17 nursing professionals from a Central Sterile Supply Department during day and night shifts, as well as 9 judges.

    Results:

    the study resulted in the construction of a board game named by the authors as “My Health First.”

    Conclusions:

    the research achieved its objective of constructing and validating an educational game. By reflecting on professional practice and correlating the occupational risks present, the professionals were able to list safe actions, identify problems, and seek solutions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Construction and validation of an educational game on biosafety in the central sterile supply department
  • ORIGINAL ARTICLE12-16-2024

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    Abstract

    ORIGINAL ARTICLE

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    DOI 10.1590/0034-7167-2024-0154

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    ABSTRACT

    Objectives:

    to identify the process of health literacy development among primary care patients, relating it to their self-care practices.

    Methods:

    qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.

    Results:

    the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.

    Final Considerations:

    health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Health literacy development of Primary Health Care patients: qualitative research
  • ORIGINAL ARTICLE12-16-2024

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    Abstract

    ORIGINAL ARTICLE

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    DOI 10.1590/0034-7167-2024-0102

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    ABSTRACT

    Objectives:

    to analyze the rate of antimicrobial dose omission in intensive care units.

    Methods:

    cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.

    Results:

    the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).

    Conclusions:

    monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW12-16-2024

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    Abstract

    REVIEW

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    DOI 10.1590/0034-7167-2024-0086

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    ABSTRACT

    Objectives:

    to summarize the recommendations of guidelines for promoting mental health in the workplace.

    Methods:

    an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.

    Results:

    four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.

    Conclusions:

    the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
  • ORIGINAL ARTICLE12-16-2024

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    Abstract

    ORIGINAL ARTICLE

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    DOI 10.1590/0034-7167-2024-0085

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    ABSTRACT

    Objectives:

    to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.

    Methods:

    a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.

    Results:

    a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).

    Conclusions:

    the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
  • 12-16-2024

    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain

    Revista Brasileira de Enfermagem. 2024;77(6):e20240050

    Abstract

    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain

    Revista Brasileira de Enfermagem. 2024;77(6):e20240050

    DOI 10.1590/0034-7167-2024-0050

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    ABSTRACT

    Objectives:

    to develop a digital technological solution (prototype) for assessing patients with chronic pain.

    Methods:

    this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.

    Results:

    the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.

    Final Considerations:

    the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
  • ORIGINAL ARTICLE12-16-2024

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    Abstract

    ORIGINAL ARTICLE

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    DOI 10.1590/0034-7167-2023-0545

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    ABSTRACT

    Objectives:

    to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.

    Methods:

    netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.

    Results:

    principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.

    Final Considerations:

    it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Respectful care for postpartum women with sickle cell disease: a netnographic study
  • REVIEW12-16-2024

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    Abstract

    REVIEW

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    DOI 10.1590/0034-7167-2023-0343

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    ABSTRACT

    Objectives:

    to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.

    Methods:

    systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.

    Results:

    initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.

    Conclusions:

    we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

  • 07-16-2021

    Sleep quality and its association with menopausal and climacteric symptoms

    Revista Brasileira de Enfermagem. 2021;74:e20201150

    Abstract

    Sleep quality and its association with menopausal and climacteric symptoms

    Revista Brasileira de Enfermagem. 2021;74:e20201150

    DOI 10.1590/0034-7167-2020-1150

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    ABSTRACT

    Objective:

    to assess sleep quality in menopausal women and its association with symptoms related to this period.

    Method:

    this is a cross-sectional, analytical and correlational study. Sleep was assessed using the Pittsburgh Sleep Quality Index; and climacteric symptoms, according to the Menopause Rating Scale. To compare the total score and each Menopause Rating Scale domain with the PSQI classification, the Mann-Whitney U non-parametric test was used. P<0.05 was considered significant.

    Results:

    261 women (67.8%) were classified as bad sleepers. There was a positive and significant correlation between the sleep scale scores and the total menopause score and its domains. Women categorized as poor sleepers had worse scores on the menopause symptom scale.

    Conclusion:

    women with worse sleep quality revealed greater severity of symptoms related to menopause.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE06-01-2020

    Factors associated with occupational stress among nursing professionals in health services of medium complexity

    Revista Brasileira de Enfermagem. 2020;73:e20180913

    Abstract

    ORIGINAL ARTICLE

    Factors associated with occupational stress among nursing professionals in health services of medium complexity

    Revista Brasileira de Enfermagem. 2020;73:e20180913

    DOI 10.1590/0034-7167-2018-0913

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    ABSTRACT

    Objective:

    To analyze the factors associated with occupational stress among nursing workers in health services of medium complexity.

    Methods:

    Epidemiological, cross-sectional, exploratory study. A randomly selected sample of 126 nursing professionals from medium complexity services in three cities in the state of Bahia (Santo Antônio de Jesus, Feira de Santana and Itabuna) was investigated. Data were collected in 2011 and 2012. The demand-control model proposed by Karasek was used to assess occupational stress. Simultaneous analysis of occupational stressors was performed using Poisson regression with robust variance.

    Results:

    The prevalence of occupational stress among nursing professionals was 77%. Occupational stress was associated with the professional category of nursing technician (p=0.01).

    Conclusion:

    The data indicates a concerning situation of exposure to occupational stressors, which requires coping strategies in order to protect the health of the worker.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE11-26-2022

    Factors associated with suicide ideation of healthcare university students

    Revista Brasileira de Enfermagem. 2022;75:e20200982

    Abstract

    ORIGINAL ARTICLE

    Factors associated with suicide ideation of healthcare university students

    Revista Brasileira de Enfermagem. 2022;75:e20200982

    DOI 10.1590/0034-7167-2020-0982

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    ABSTRACT

    Objectives:

    to analyze the factors associated with suicidal ideation in students from healthcare graduation courses.

    Methods:

    quantitative, cross-sectional study, with 251 students from the courses of radiology, speech-language therapy, medicine, nutrition, health service management, and nursing, from a federal higher education institution in the Southeast of Brazil. Data were collected from August to October 2019, using an electronic questionnaire.

    Results:

    the prevalence of suicidal ideation among participants was 26.33%. In the final logistic regression model, only depressive symptoms were associated with suicidal ideation. Having symptoms of depression increased the chances of suicidal ideation 2.6 times.

    Conclusion:

    the high prevalence of suicidal ideation and its associated factors constitutes a situational diagnosis that demands the elaboration of public and institutional policies, focused on the promotion and attention to the mental health of the students.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-10-2020

    Eliot Freidson’s sociology of professions: an interpretation for Health and Nursing

    Revista Brasileira de Enfermagem. 2020;73(6):e20180950

    Abstract

    ORIGINAL ARTICLE

    Eliot Freidson’s sociology of professions: an interpretation for Health and Nursing

    Revista Brasileira de Enfermagem. 2020;73(6):e20180950

    DOI 10.1590/0034-7167-2018-0950

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    ABSTRACT

    Objectives:

    to analyze theoretical conceptions of Eliot Freidson’s Sociology of Professions scoped on health and nursing professions.

    Methods:

    Eight nurses were interviewed, all involved in the development of the professional Council on the timeframe from 1975 to 1986. Documental resources were Laws, Ordinances, Resolutions, Reports, Meeting Minutes and Public Deeds. Information was organized as from literature and Eliot Freidson’s conceptions, and thematic content analysis was carried out.

    Results:

    the concepts authored by Eliot Freidson allowed for the development of a concept chart that portrays the nursing profession and that may be expanded for the other occupations in the health field, in consonance with professional organization in the country.

    Final Considerations:

    Eliot Freidson’s framework, in interpretation for nursing, consolidates the profession with relative autonomy, expertise by Nursing Care Systematization and credentialism by professional normalizations.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Eliot Freidson’s sociology of professions: an interpretation for Health and Nursing
  • ORIGINAL ARTICLE07-06-2020

    Association between knowledge and adherence to foot self-care practices performed by diabetics

    Revista Brasileira de Enfermagem. 2020;73(5):e20190430

    Abstract

    ORIGINAL ARTICLE

    Association between knowledge and adherence to foot self-care practices performed by diabetics

    Revista Brasileira de Enfermagem. 2020;73(5):e20190430

    DOI 10.1590/0034-7167-2019-0430

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    ABSTRACT

    Objectives:

    to verify the association between knowledge and adherence to foot self-care practices performed by patients with diabetes mellitus type 2.

    Methods:

    cross-sectional, descriptive study carried out with 197 patients in basic health units located in the Northeast region of Brazil. For data collection, we used a semi-structured questionnaire that addressed issues inherent to knowledge and Diabetes Self-Care Activities.

    Results:

    we observed that patients with moderate knowledge about self-care practices were more likely to perform foot self-examination, dry the interdigital spaces, moisturize their feet with creams and oils, observe the presence of mycosis and ingrown toenail when compared to patients with insufficient knowledge.

    Conclusions:

    the patients’ level of knowledge was closely related to the self-care activities carried out, which reinforces the importance of nurses working on training those on essential health care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE03-07-2022

    Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload

    Revista Brasileira de Enfermagem. 2022;75:e20210119

    Abstract

    ORIGINAL ARTICLE

    Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload

    Revista Brasileira de Enfermagem. 2022;75:e20210119

    DOI 10.1590/0034-7167-2021-0119

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    ABSTRACT

    Objective:

    To identify the sociodemographic and clinical profile of COVID-19 patients; measure workload and make associations between clinical variables.

    Methods:

    Cross-sectional study with 150 adult COVID-19 patients in an intensive care unit (from March to June 2020). Data from the electronic medical record in the first 24 hours of hospitalization: gender, age, education, origin, comorbidities, invasive mechanical ventilation, prone maneuver, renal replacement therapy, pressure injury, Braden, Nursing Activities Score, diagnoses, and nursing care. Descriptive statistical analysis, associations between clinical variables and age group.

    Results:

    Male (55.3%); mean age, 59 years; hypertensive (57.3%); obese (50.6%); diabetic (34%); invasive mechanical ventilation (66.7%); pronated (20.6%); hemodialysis (15.3%); Nursing Activities Score average, 86%. Twenty-eight nursing diagnoses and 73 cares were found.

    Conclusion:

    Patients required highly complex support. There was a significant association between pressure injury and workload with the prone maneuver. Nursing diagnoses and care reflect the needs of critical patients.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW01-20-2021

    Psychosocial factors in nursing work and occupational risks: a systematic review

    Revista Brasileira de Enfermagem. 2021;74:e20200198

    Abstract

    REVIEW

    Psychosocial factors in nursing work and occupational risks: a systematic review

    Revista Brasileira de Enfermagem. 2021;74:e20200198

    DOI 10.1590/0034-7167-2020-0198

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    ABSTRACT

    Objective:

    to identify, in international scientific production, the main psychosocial factors in nursing work, found through the Copenhagen Psychosocial Questionnaire (COPSOQ) application.

    Methods:

    a systematic review study of psychosocial factors at work among nursing professionals, who used COPSOQ in the assessment of work environments.

    Results:

    fifteen articles were identified, which highlighted as main psychosocial dimensions of nursing work demands, work organization, social relationships and leadership, work-home interface, workplace health and well-being and offensive behaviors.

    Conclusion:

    the high demands for cognitive, emotional work and work pace were identified in the nursing routine. Management support had a positive impact. Physical and psychological violence and shift work interfere in family life, aggravating the fatigue of these professionals. Interventions for reducing work stress presuppose the identification of psychosocial factors involved in nursing work.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-22-2021

    HIV infection in pregnant women and its challenges for the prenatal care

    Revista Brasileira de Enfermagem. 2021;74:e20190784

    Abstract

    HIV infection in pregnant women and its challenges for the prenatal care

    Revista Brasileira de Enfermagem. 2021;74:e20190784

    DOI 10.1590/0034-7167-2019-0784

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    ABSTRACT

    Objective:

    To analyze the epidemiological profile of HIV infections in pregnant women.

    Methods:

    Analytical study with a quantitative approach.

    Results:

    The HIV rate in pregnant women increased from 1.5/1000 babies born alive, in 2010, to 3.3/1000 in 2017. There was a significant association between the prenatal and the variables educational level (p<0.0001), occupation (p=0.0105), gestational age (p < 0.0001), and type of delivery (p < 0.0001). The mean rate of adherence to the antiretroviral treatment in the prenatal was 68.8% (DP = ± 3.7).

    Conclusion:

    The high rates of HIV detection in pregnant women suggest the need to intensify the health care to women during the prenatal, guaranteeing an integral care, early diagnoses, and enhancing the strategies to improve the adherence to the antiretroviral treatment, aiming to achieve the viral suppression of the mother by the time of childbirth, thus diminishing the risk of a vertical transmission.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    HIV infection in pregnant women and its challenges for the prenatal care

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